Hospital

Wayne Medical Center

Listed in its price file as “Maury Regional Hospital”.

Wayne Medical Center in Waynesboro, TN publishes cash prices for 207 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 121 of 201 procedures and below it for 77. By typical cash price it ranks #54 of 86 Tennessee hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

103 J.V. Mangubat Drive, Waynesboro, TN 38485 Collected Sep 29, 2026 Source price file (931) 722-5411

Rural emergency hospital Emergency department CCN 440780 · CMS hospital register NPI 1811927544

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US Segmental Pressures LE 1-2 Lvls Bilat	$259.53	$633.00	$247.50–$569.70	—	59%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US Segmental Pressures LE 1-2 Lvls Bilat	$259.53	$633.00	$316.50–$633.00	—	59%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus	$134.48	$328.00	$128.25–$295.20	39% below	59%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus	$134.48	$328.00	$164.00–$328.00	—	59%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body Scan 3 hours	$595.32	$1,452.00	$567.73–$1,306.80	13% below	59%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body Scan 3 hours	$595.32	$1,452.00	$726.00–$1,452.00	—	59%
Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Complete Bilateral	$581.79	$1,419.00	$554.83–$1,277.10	—	59%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Complete Bilateral	$581.79	$1,419.00	$709.50–$1,419.00	—	59%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest	$821.23	$2,003.00	$783.17–$1,802.70	28% below	59%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest	$821.23	$2,003.00	$1,001.50–$2,003.00	—	59%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Cardiac/ FFR if indicated	$1,002.45	$2,445.00	$956.00–$2,200.50	5% above	59%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Cardiac/ FFR if indicated	$1,002.45	$2,445.00	$1,222.50–$2,445.00	—	59%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring	$379.25	$925.00	$361.68–$832.50	275% above	59%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring	$379.25	$925.00	$462.50–$925.00	—	59%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Stone Protocol	$1,564.97	$3,817.00	$1,492.45–$3,435.30	4% above	59%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast	$1,564.97	$3,817.00	$1,492.45–$3,435.30	4% above	59%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast	$1,564.97	$3,817.00	$1,908.50–$3,817.00	—	59%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Stone Protocol	$1,564.97	$3,817.00	$1,908.50–$3,817.00	—	59%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast	$1,708.06	$4,166.00	$1,628.91–$3,749.40	11% below	59%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelvis w/ IV Enterography	$1,708.06	$4,166.00	$1,628.91–$3,749.40	11% below	59%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast	$1,708.06	$4,166.00	$2,083.00–$4,166.00	—	59%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelvis w/ IV Enterography	$1,708.06	$4,166.00	$2,083.00–$4,166.00	—	59%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd/Pelvis w/wo IV Urography	$1,751.11	$4,271.00	$1,669.96–$3,843.90	21% below	59%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast	$1,751.11	$4,271.00	$1,669.96–$3,843.90	21% below	59%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd/Pelvis w/wo IV Urography	$1,751.11	$4,271.00	$2,135.50–$4,271.00	—	59%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast	$1,751.11	$4,271.00	$2,135.50–$4,271.00	—	59%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast	$736.36	$1,796.00	$702.24–$1,616.40	24% below	59%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast	$736.36	$1,796.00	$898.00–$1,796.00	—	59%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast	$674.45	$1,645.00	$643.20–$1,480.50	14% below	59%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast	$674.45	$1,645.00	$822.50–$1,645.00	—	59%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast	$783.10	$1,910.00	$746.81–$1,719.00	8% above	59%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/o Contrast	$783.10	$1,910.00	$746.81–$1,719.00	8% above	59%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/o Contrast	$783.10	$1,910.00	$955.00–$1,910.00	—	59%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast	$783.10	$1,910.00	$955.00–$1,910.00	—	59%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Stroke Protocol	$982.36	$2,396.00	$936.84–$2,156.40	35% above	59%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast	$982.36	$2,396.00	$936.84–$2,156.40	35% above	59%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast	$982.36	$2,396.00	$1,198.00–$2,396.00	—	59%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Stroke Protocol	$982.36	$2,396.00	$1,198.00–$2,396.00	—	59%
CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast	$854.03	$2,083.00	$814.45–$1,874.70	11% below	59%
CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast	$854.03	$2,083.00	$1,041.50–$2,083.00	—	59%
CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast	$1,002.45	$2,445.00	$956.00–$2,200.50	10% below	59%
CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast	$1,002.45	$2,445.00	$1,222.50–$2,445.00	—	59%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast	$772.85	$1,885.00	$737.04–$1,696.50	13% below	59%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast	$772.85	$1,885.00	$942.50–$1,885.00	—	59%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast	$971.29	$2,369.00	$926.28–$2,132.10	9% above	59%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast	$971.29	$2,369.00	$1,184.50–$2,369.00	—	59%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast	$687.16	$1,676.00	$655.32–$1,508.40	26% below	59%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast	$687.16	$1,676.00	$838.00–$1,676.00	—	59%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$447.72	$1,092.00	$426.97–$982.80	—	59%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral	$447.72	$1,092.00	$546.00–$1,092.00	—	59%
Chest X-ray, 2 views CPT 71046 XR BABYGRAM 2 VIEWS	$218.12	$532.00	$208.01–$478.80	79% above	59%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views	$218.12	$532.00	$208.01–$478.80	79% above	59%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views	$218.12	$532.00	$266.00–$532.00	—	59%
Chest X-ray, 2 views inpatient CPT 71046 XR BABYGRAM 2 VIEWS	$218.12	$532.00	$266.00–$532.00	—	59%
Chest X-ray, single view CPT 71045 XR BABYGRAM 1 VIEW	$170.56	$416.00	$162.66–$374.40	52% above	59%
Chest X-ray, single view CPT 71045 XR Chest Decubitus	$170.56	$416.00	$162.66–$374.40	52% above	59%
Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal	$170.56	$416.00	$162.66–$374.40	52% above	59%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Frontal	$170.56	$416.00	$208.00–$416.00	—	59%
Chest X-ray, single view inpatient CPT 71045 XR Chest Decubitus	$170.56	$416.00	$208.00–$416.00	—	59%
Chest X-ray, single view inpatient CPT 71045 XR BABYGRAM 1 VIEW	$170.56	$416.00	$208.00–$416.00	—	59%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$226.32	$552.00	$215.83–$496.80	17% below	59%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$226.32	$552.00	$276.00–$552.00	—	59%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton Lmtd	$116.03	$283.00	$110.65–$254.70	34% below	59%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton	$116.03	$283.00	$110.65–$254.70	34% below	59%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton Lmtd	$116.03	$283.00	$141.50–$283.00	—	59%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton	$116.03	$283.00	$141.50–$283.00	—	59%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Interstitial Lung Disease w/o c	$715.04	$1,744.00	$681.90–$1,569.60	at median	59%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest wo IV Super D Protocol	$715.04	$1,744.00	$681.90–$1,569.60	at median	59%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution w/o	$715.04	$1,744.00	$681.90–$1,569.60	at median	59%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Lung Low Dose Follow Up	$715.04	$1,744.00	$681.90–$1,569.60	at median	59%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Thorax w/o Contrast	$715.04	$1,744.00	$681.90–$1,569.60	at median	59%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Dynamic Airway w/o contrast	$715.04	$1,744.00	$681.90–$1,569.60	at median	59%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest wo StratX Protocol	$715.04	$1,744.00	$681.90–$1,569.60	at median	59%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest wo StratX Protocol	$715.04	$1,744.00	$872.00–$1,744.00	—	59%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Dynamic Airway w/o contrast	$715.04	$1,744.00	$872.00–$1,744.00	—	59%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest/Thorax w/o Contrast	$715.04	$1,744.00	$872.00–$1,744.00	—	59%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Lung Low Dose Follow Up	$715.04	$1,744.00	$872.00–$1,744.00	—	59%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest High Resolution w/o	$715.04	$1,744.00	$872.00–$1,744.00	—	59%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest wo IV Super D Protocol	$715.04	$1,744.00	$872.00–$1,744.00	—	59%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Interstitial Lung Disease w/o c	$715.04	$1,744.00	$872.00–$1,744.00	—	59%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Thorax w/ Contrast	$1,026.23	$2,503.00	$978.67–$2,252.70	6% above	59%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest High Resolution w/	$1,026.23	$2,503.00	$978.67–$2,252.70	6% above	59%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w IV Super D Protocol	$1,026.23	$2,503.00	$978.67–$2,252.70	6% above	59%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Thorax PE Protocol	$1,026.23	$2,503.00	$978.67–$2,252.70	6% above	59%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w IV Super D Protocol	$1,026.23	$2,503.00	$1,251.50–$2,503.00	—	59%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest/Thorax PE Protocol	$1,026.23	$2,503.00	$1,251.50–$2,503.00	—	59%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest/Thorax w/ Contrast	$1,026.23	$2,503.00	$1,251.50–$2,503.00	—	59%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest High Resolution w/	$1,026.23	$2,503.00	$1,251.50–$2,503.00	—	59%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat w CAD	$217.71	$531.00	$207.62–$477.90	—	59%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL ADD VIEWS BILAT	$217.71	$531.00	$207.62–$477.90	—	59%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DIAGNOSTIC BILAT	$217.71	$531.00	$207.62–$477.90	—	59%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Add Views Bilat w CAD	$217.71	$531.00	$207.62–$477.90	—	59%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat w CAD	$217.71	$531.00	$265.50–$531.00	—	59%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Add Views Bilat w CAD	$217.71	$531.00	$265.50–$531.00	—	59%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIGITAL DIAGNOSTIC BILAT	$217.71	$531.00	$265.50–$531.00	—	59%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIGITAL ADD VIEWS BILAT	$217.71	$531.00	$265.50–$531.00	—	59%
Diagnostic mammogram, one breast one side CPT 77065 DIGITAL DIAGNOSTIC UNILAT LT	$170.15	$415.00	$162.27–$373.50	19% above	59%
Diagnostic mammogram, one breast one side CPT 77065 DIGITAL ADD VIEWS UNILAT RT	$170.15	$415.00	$162.27–$373.50	19% above	59%
Diagnostic mammogram, one breast one side CPT 77065 DIGITAL DIAGNOSTIC UNILAT RT	$170.15	$415.00	$162.27–$373.50	19% above	59%
Diagnostic mammogram, one breast one side CPT 77065 DIGITAL ADD VIEWS UNILAT LT	$170.15	$415.00	$162.27–$373.50	19% above	59%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIGITAL ADD VIEWS UNILAT RT	$170.15	$415.00	$207.50–$415.00	—	59%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIGITAL ADD VIEWS UNILAT LT	$170.15	$415.00	$207.50–$415.00	—	59%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIGITAL DIAGNOSTIC UNILAT RT	$170.15	$415.00	$207.50–$415.00	—	59%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DIGITAL DIAGNOSTIC UNILAT LT	$170.15	$415.00	$207.50–$415.00	—	59%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral	$433.37	$1,057.00	$413.29–$951.30	—	59%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral	$433.37	$1,057.00	$528.50–$1,057.00	—	59%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral	$474.78	$1,158.00	$452.78–$1,042.20	—	59%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral	$474.78	$1,158.00	$452.78–$1,042.20	—	59%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral	$474.78	$1,158.00	$579.00–$1,158.00	—	59%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral	$474.78	$1,158.00	$579.00–$1,158.00	—	59%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo 2D M mode DOP/CF	$978.67	$2,387.00	$933.32–$2,148.30	17% below	59%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo 2D M mode DOP/CF	$978.67	$2,387.00	$1,193.50–$2,387.00	—	59%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging Only Scan	$694.95	$1,695.00	$662.74–$1,525.50	7% above	59%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging Only Scan	$694.95	$1,695.00	$847.50–$1,695.00	—	59%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study with therapy - BIPAP	$1,564.97	$3,817.00	$1,492.45–$3,435.30	8% below	59%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study with therapy - ASV	$1,564.97	$3,817.00	$1,492.45–$3,435.30	8% below	59%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography 4+ parameters w/PAP 95811	$1,564.97	$3,817.00	$1,492.45–$3,435.30	8% below	59%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study with therapy - CPAP	$1,564.97	$3,817.00	$1,492.45–$3,435.30	8% below	59%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study with therapy - BIPAP	$1,564.97	$3,817.00	$1,908.50–$3,817.00	—	59%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study with therapy - CPAP	$1,564.97	$3,817.00	$1,908.50–$3,817.00	—	59%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography 4+ parameters w/PAP 95811	$1,564.97	$3,817.00	$1,908.50–$3,817.00	—	59%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study with therapy - ASV	$1,564.97	$3,817.00	$1,908.50–$3,817.00	—	59%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix	$336.61	$821.00	$321.01–$738.90	26% above	59%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE LOWER BACK	$336.61	$821.00	$321.01–$738.90	26% above	59%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABD WALL	$336.61	$821.00	$321.01–$738.90	26% above	59%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$336.61	$821.00	$321.01–$738.90	26% above	59%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pylorus	$336.61	$821.00	$321.01–$738.90	26% above	59%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$336.61	$821.00	$410.50–$821.00	—	59%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE LOWER BACK	$336.61	$821.00	$410.50–$821.00	—	59%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE ABD WALL	$336.61	$821.00	$410.50–$821.00	—	59%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Appendix	$336.61	$821.00	$410.50–$821.00	—	59%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pylorus	$336.61	$821.00	$410.50–$821.00	—	59%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Cancer Screening	$758.09	$1,849.00	$722.96–$1,664.10	297% above	59%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Cancer Screening	$758.09	$1,849.00	$924.50–$1,849.00	—	59%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast	$922.09	$2,249.00	$879.36–$2,024.10	4% below	59%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast	$922.09	$2,249.00	$1,124.50–$2,249.00	—	59%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast	$1,284.12	$3,132.00	$1,224.61–$2,818.80	1% above	59%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast	$1,284.12	$3,132.00	$1,566.00–$3,132.00	—	59%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast Wake Up Protocol	$909.38	$2,218.00	$867.24–$1,996.20	21% below	59%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast	$909.38	$2,218.00	$867.24–$1,996.20	21% below	59%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast	$909.38	$2,218.00	$1,109.00–$2,218.00	—	59%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast Wake Up Protocol	$909.38	$2,218.00	$1,109.00–$2,218.00	—	59%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast	$1,339.47	$3,267.00	$1,277.40–$2,940.30	12% below	59%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast	$1,339.47	$3,267.00	$1,633.50–$3,267.00	—	59%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast	$1,006.14	$2,454.00	$959.51–$2,208.60	1% above	59%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast	$1,006.14	$2,454.00	$1,227.00–$2,454.00	—	59%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$1,380.47	$3,367.00	$1,316.50–$3,030.30	4% below	59%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$1,380.47	$3,367.00	$1,683.50–$3,367.00	—	59%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast	$969.65	$2,365.00	$924.72–$2,128.50	2% below	59%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast	$969.65	$2,365.00	$1,182.50–$2,365.00	—	59%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$1,429.26	$3,486.00	$1,363.03–$3,137.40	3% below	59%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$1,429.26	$3,486.00	$1,743.00–$3,486.00	—	59%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast	$1,002.45	$2,445.00	$956.00–$2,200.50	1% above	59%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast	$1,002.45	$2,445.00	$1,222.50–$2,445.00	—	59%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast	$1,367.35	$3,335.00	$1,303.99–$3,001.50	3% above	59%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast	$1,367.35	$3,335.00	$1,667.50–$3,335.00	—	59%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast	$819.18	$1,998.00	$781.22–$1,798.20	7% below	59%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast	$819.18	$1,998.00	$999.00–$1,998.00	—	59%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial SPECT Rest&Stress Scan	$1,023.36	$2,496.00	$975.94–$2,246.40	47% below	59%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial SPECT Rest&Stress Scan	$1,023.36	$2,496.00	$1,248.00–$2,496.00	—	59%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Thigh Prostate PSMA	$2,503.05	$6,105.00	$2,387.06–$5,494.50	20% above	59%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh NET Detect	$2,503.05	$6,105.00	$2,387.06–$5,494.50	20% above	59%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh	$2,503.05	$6,105.00	$2,387.06–$5,494.50	20% above	59%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Thigh Prostate PSMA	$2,503.05	$6,105.00	$3,052.50–$6,105.00	—	59%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh	$2,503.05	$6,105.00	$3,052.50–$6,105.00	—	59%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh NET Detect	$2,503.05	$6,105.00	$3,052.50–$6,105.00	—	59%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 BMD-BLADDER SCAN	$252.97	$617.00	$241.25–$555.30	35% above	59%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE PELVIC WALL	$252.97	$617.00	$241.25–$555.30	35% above	59%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE GROIN	$252.97	$617.00	$241.25–$555.30	35% above	59%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE BUTTOCK	$252.97	$617.00	$241.25–$555.30	35% above	59%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Ltd w/Transvag if indicated	$252.97	$617.00	$241.25–$555.30	35% above	59%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Bladder Scan PVR	$252.97	$617.00	$241.25–$555.30	35% above	59%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE GROIN	$252.97	$617.00	$308.50–$617.00	—	59%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Ltd w/Transvag if indicated	$252.97	$617.00	$308.50–$617.00	—	59%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE BUTTOCK	$252.97	$617.00	$308.50–$617.00	—	59%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE PELVIC WALL	$252.97	$617.00	$308.50–$617.00	—	59%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Bladder Scan PVR	$252.97	$617.00	$308.50–$617.00	—	59%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 BMD-BLADDER SCAN	$252.97	$617.00	$308.50–$617.00	—	59%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Comp w/Transvag if indicated	$317.75	$775.00	$303.03–$697.50	10% above	59%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Comp w/Transvag if indicated	$317.75	$775.00	$387.50–$775.00	—	59%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks:US OB Greater Than 14 Weeks	$272.65	$665.00	$260.02–$598.50	5% below	59%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks:US OB Greater Than 14 Weeks	$272.65	$665.00	$332.50–$665.00	—	59%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less Thn 14 wks w/TVS if indicated	$704.79	$1,719.00	$672.13–$1,547.10	195% above	59%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Less Thn 14 wks w/TVS if indicated	$704.79	$1,719.00	$859.50–$1,719.00	—	59%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB Bedside US	$213.20	$520.00	$203.32–$468.00	31% above	59%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited	$213.20	$520.00	$203.32–$468.00	31% above	59%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited	$213.20	$520.00	$260.00–$520.00	—	59%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB Bedside US	$213.20	$520.00	$260.00–$520.00	—	59%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral w C	$179.58	$438.00	$171.26–$394.20	—	59%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCREENING BILAT	$179.58	$438.00	$171.26–$394.20	—	59%
Screening mammogram, both breasts one side CPT 77067 DIGITAL SCREENING UNILAT RT	$179.58	$438.00	$171.26–$394.20	133% above	59%
Screening mammogram, both breasts one side CPT 77067 DIGITAL SCREENING UNILAT LT	$179.58	$438.00	$171.26–$394.20	133% above	59%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral w C	$179.58	$438.00	$219.00–$438.00	—	59%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIGITAL SCREENING BILAT	$179.58	$438.00	$219.00–$438.00	—	59%
Screening mammogram, both breasts inpatient one side CPT 77067 DIGITAL SCREENING UNILAT LT	$179.58	$438.00	$219.00–$438.00	—	59%
Screening mammogram, both breasts inpatient one side CPT 77067 DIGITAL SCREENING UNILAT RT	$179.58	$438.00	$219.00–$438.00	—	59%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnogram	$1,276.74	$3,114.00	$1,217.57–$2,802.60	11% below	59%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography (CPT 95810)	$1,276.74	$3,114.00	$1,217.57–$2,802.60	11% below	59%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography (CPT 95810)	$1,276.74	$3,114.00	$1,557.00–$3,114.00	—	59%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnogram	$1,276.74	$3,114.00	$1,557.00–$3,114.00	—	59%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function w/ Speech	$354.24	$864.00	$337.82–$777.60	71% above	59%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Function w/ Speech	$354.24	$864.00	$432.00–$864.00	—	59%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB	$278.80	$680.00	$265.88–$612.00	at median	59%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB	$278.80	$680.00	$340.00–$680.00	—	59%
Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal	$287.41	$701.00	$274.09–$630.90	28% above	59%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal	$287.41	$701.00	$350.50–$701.00	—	59%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$384.17	$937.00	$366.37–$843.30	at median	59%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$384.17	$937.00	$468.50–$937.00	—	59%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$252.15	$615.00	$240.46–$553.50	6% below	59%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$252.15	$615.00	$307.50–$615.00	—	59%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD / NECK	$302.58	$738.00	$288.56–$664.20	19% above	59%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$302.58	$738.00	$288.56–$664.20	19% above	59%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD / NECK	$302.58	$738.00	$369.00–$738.00	—	59%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$302.58	$738.00	$369.00–$738.00	—	59%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel	$274.29	$669.00	$261.58–$602.10	6% above	59%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI + KUB	$274.29	$669.00	$261.58–$602.10	6% above	59%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI w/ Small Bowel	$274.29	$669.00	$334.50–$669.00	—	59%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI + KUB	$274.29	$669.00	$334.50–$669.00	—	59%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View	$166.46	$406.00	$158.75–$365.40	21% above	59%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View	$166.46	$406.00	$203.00–$406.00	—	59%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$234.11	$571.00	$223.26–$513.90	35% above	59%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$234.11	$571.00	$285.50–$571.00	—	59%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views	$228.37	$557.00	$217.79–$501.30	1% above	59%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views	$228.37	$557.00	$278.50–$557.00	—	59%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2+ Views	$166.46	$406.00	$158.75–$365.40	25% above	59%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2+ Views	$166.46	$406.00	$203.00–$406.00	—	59%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views	$116.03	$283.00	$110.65–$254.70	4% below	59%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views	$116.03	$283.00	$141.50–$283.00	—	59%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views	$195.16	$476.00	$186.12–$428.40	42% above	59%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views	$195.16	$476.00	$238.00–$476.00	—	59%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views	$116.03	$283.00	$110.65–$254.70	10% below	59%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views	$116.03	$283.00	$141.50–$283.00	—	59%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views	$116.03	$283.00	$110.65–$254.70	18% below	59%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views	$116.03	$283.00	$141.50–$283.00	—	59%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase	$19.68	$48.00	$18.77–$43.20	40% below	59%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE;ALANINE AMINO,ALT	$19.68	$48.00	$18.77–$43.20	40% below	59%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE;ALANINE AMINO,ALT	$19.68	$48.00	$24.00–$48.00	—	59%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine aminotransferase	$19.68	$48.00	$24.00–$48.00	—	59%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate aminotransferase	$19.68	$48.00	$18.77–$43.20	38% below	59%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase;Aspartate Amino,(AST)	$19.68	$48.00	$18.77–$43.20	38% below	59%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate aminotransferase	$19.68	$48.00	$24.00–$48.00	—	59%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase;Aspartate Amino,(AST)	$19.68	$48.00	$24.00–$48.00	—	59%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute	$182.86	$446.00	$174.39–$401.40	4% above	59%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel, Acute	$182.86	$446.00	$223.00–$446.00	—	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F025-IgE Tomato	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F048-IgE Onion	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F080-IgE Lobster	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F083-IgE Chicken	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F207-IgE Clam	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F245-IgE Egg, Whole	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F290-IgE Oyster	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Profile 2	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Profile	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 M024-IgE Stachybotrys atra	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens(33)	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Zone 8	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 E003-IgE Horse Dander	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 Alpha Gal IgE	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F023-IgE Crab	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen CPT 86003 F024-IgE Shrimp	$16.81	$41.00	$16.03–$36.90	47% above	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F083-IgE Chicken	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F245-IgE Egg, Whole	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F290-IgE Oyster	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hymenoptera Profile	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hymenoptera Profile 2	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F023-IgE Crab	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F024-IgE Shrimp	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F025-IgE Tomato	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F048-IgE Onion	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F080-IgE Lobster	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F207-IgE Clam	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M024-IgE Stachybotrys atra	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alpha Gal IgE	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens(33)	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens, Zone 8	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E003-IgE Horse Dander	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IgE Wheat	$16.81	$41.00	$20.50–$41.00	—	59%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean	$16.81	$41.00	$20.50–$41.00	—	59%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$49.20	$120.00	$46.92–$108.00	25% above	59%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA	$49.20	$120.00	$46.92–$108.00	25% above	59%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$49.20	$120.00	$60.00–$120.00	—	59%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA	$49.20	$120.00	$60.00–$120.00	—	59%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, IFA	$45.51	$111.00	$43.40–$99.90	23% above	59%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$45.51	$111.00	$43.40–$99.90	23% above	59%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex to 9 Biomarkers	$45.51	$111.00	$43.40–$99.90	23% above	59%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex to 5 Biomarkers	$45.51	$111.00	$43.40–$99.90	23% above	59%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Direct	$45.51	$111.00	$43.40–$99.90	23% above	59%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies, IFA	$45.51	$111.00	$55.50–$111.00	—	59%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES	$45.51	$111.00	$55.50–$111.00	—	59%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex to 9 Biomarkers	$45.51	$111.00	$55.50–$111.00	—	59%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex to 5 Biomarkers	$45.51	$111.00	$55.50–$111.00	—	59%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies Direct	$45.51	$111.00	$55.50–$111.00	—	59%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 proBNP	$59.86	$146.00	$57.09–$131.40	36% below	59%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide	$59.86	$146.00	$57.09–$131.40	36% below	59%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide	$59.86	$146.00	$73.00–$146.00	—	59%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 proBNP	$59.86	$146.00	$73.00–$146.00	—	59%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$73.80	$180.00	$70.38–$162.00	2% below	59%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$73.80	$180.00	$90.00–$180.00	—	59%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL IV	$23.37	$57.00	$22.29–$51.30	69% below	59%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LEVEL IV	$23.37	$57.00	$28.50–$57.00	—	59%
Blood culture for bacteria CPT 87040 Blood Culture	$42.23	$103.00	$40.27–$92.70	33% below	59%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$42.23	$103.00	$51.50–$103.00	—	59%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$6.56	$16.00	$6.26–$14.40	31% below	59%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INF Venipuncture	$6.56	$16.00	$6.26–$14.40	31% below	59%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION	$6.56	$16.00	$6.26–$14.40	31% below	59%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$6.56	$16.00	$6.26–$14.40	31% below	59%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INF Bld Coll Only, Line Draw	$6.56	$16.00	$6.26–$14.40	31% below	59%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw	$6.56	$16.00	$8.00–$16.00	—	59%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$6.56	$16.00	$8.00–$16.00	—	59%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 INF Venipuncture	$6.56	$16.00	$8.00–$16.00	—	59%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 INF Bld Coll Only, Line Draw	$6.56	$16.00	$8.00–$16.00	—	59%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION	$6.56	$16.00	$8.00–$16.00	—	59%
Blood glucose (sugar) test CPT 82947 POC-GLUCOSE,QUANTITATIVE,BLOOD	$11.07	$27.00	$10.56–$24.30	53% below	59%
Blood glucose (sugar) test CPT 82947 Glucose Level	$14.76	$36.00	$14.08–$32.40	38% below	59%
Blood glucose (sugar) test CPT 82947 Glucose Fasting	$14.76	$36.00	$14.08–$32.40	38% below	59%
Blood glucose (sugar) test CPT 82947 Glucose Tolerance,Fast/2 hr	$14.76	$36.00	$14.08–$32.40	38% below	59%
Blood glucose (sugar) test inpatient CPT 82947 POC-GLUCOSE,QUANTITATIVE,BLOOD	$11.07	$27.00	$13.50–$27.00	—	59%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting	$14.76	$36.00	$18.00–$36.00	—	59%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level	$14.76	$36.00	$18.00–$36.00	—	59%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Tolerance,Fast/2 hr	$14.76	$36.00	$18.00–$36.00	—	59%
Blood lead test CPT 83655 Lead, Blood (Pediatric)	$45.51	$111.00	$43.40–$99.90	24% above	59%
Blood lead test CPT 83655 Lead, Blood (Adult)	$45.51	$111.00	$43.40–$99.90	24% above	59%
Blood lead test CPT 83655 Heavy Metals Profile I, Blood	$45.51	$111.00	$43.40–$99.90	24% above	59%
Blood lead test CPT 83655 ASSAY OF LEAD	$45.51	$111.00	$43.40–$99.90	24% above	59%
Blood lead test inpatient CPT 83655 Lead, Blood (Pediatric)	$45.51	$111.00	$55.50–$111.00	—	59%
Blood lead test inpatient CPT 83655 Lead, Blood (Adult)	$45.51	$111.00	$55.50–$111.00	—	59%
Blood lead test inpatient CPT 83655 Heavy Metals Profile I, Blood	$45.51	$111.00	$55.50–$111.00	—	59%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$45.51	$111.00	$55.50–$111.00	—	59%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative	$53.71	$131.00	$51.22–$117.90	3% below	59%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative	$53.71	$131.00	$65.50–$131.00	—	59%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Baby ABO/Rh	$24.19	$59.00	$23.07–$53.10	51% below	59%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh	$24.19	$59.00	$23.07–$53.10	51% below	59%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Interpretation	$24.19	$59.00	$23.07–$53.10	51% below	59%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABO/Rh	$24.19	$59.00	$29.50–$59.00	—	59%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Baby ABO/Rh	$24.19	$59.00	$29.50–$59.00	—	59%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Interpretation	$24.19	$59.00	$29.50–$59.00	—	59%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$28.29	$69.00	$26.98–$62.10	19% above	59%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$28.29	$69.00	$26.98–$62.10	19% above	59%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$28.29	$69.00	$34.50–$69.00	—	59%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$28.29	$69.00	$34.50–$69.00	—	59%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Diff Toxin	$98.40	$240.00	$93.84–$216.00	9% above	59%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile PCR	$98.40	$240.00	$93.84–$216.00	9% above	59%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium Diff Toxin	$98.40	$240.00	$120.00–$240.00	—	59%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile PCR	$98.40	$240.00	$120.00–$240.00	—	59%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$78.72	$192.00	$75.07–$172.80	12% above	59%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$78.72	$192.00	$96.00–$192.00	—	59%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125	$78.72	$192.00	$75.07–$172.80	13% above	59%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125	$78.72	$192.00	$96.00–$192.00	—	59%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 (SNF Only)	$172.61	$421.00	$164.61–$378.90	211% above	59%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19(INPATIENT)	$172.61	$421.00	$164.61–$378.90	211% above	59%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 (2019 Novel Coronavirus,NAA)	$172.61	$421.00	$164.61–$378.90	211% above	59%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 (2019 Novel Coronavirus,NAA)	$172.61	$421.00	$210.50–$421.00	—	59%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19(INPATIENT)	$172.61	$421.00	$210.50–$421.00	—	59%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 (SNF Only)	$172.61	$421.00	$210.50–$421.00	—	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH, DNA, AMP PROBE	$56.99	$139.00	$54.35–$125.10	5% below	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT/NG by PCR	$56.99	$139.00	$54.35–$125.10	5% below	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/GC NAA, Confirmation	$56.99	$139.00	$54.35–$125.10	5% below	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, NAA	$56.99	$139.00	$54.35–$125.10	5% below	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia, Conjunctiva, NAA	$56.99	$139.00	$54.35–$125.10	5% below	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ct, Ng, Trich vag by NAA	$56.99	$139.00	$54.35–$125.10	5% below	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ct/GC NAA, Rectal	$56.99	$139.00	$54.35–$125.10	5% below	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/GC NAA, Confirmation	$56.99	$139.00	$69.50–$139.00	—	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, NAA	$56.99	$139.00	$69.50–$139.00	—	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT/NG by PCR	$56.99	$139.00	$69.50–$139.00	—	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia, Conjunctiva, NAA	$56.99	$139.00	$69.50–$139.00	—	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Ct, Ng, Trich vag by NAA	$56.99	$139.00	$69.50–$139.00	—	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Ct/GC NAA, Rectal	$56.99	$139.00	$69.50–$139.00	—	59%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH, DNA, AMP PROBE	$56.99	$139.00	$69.50–$139.00	—	59%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Cascade	$50.43	$123.00	$48.09–$110.70	8% above	59%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$50.43	$123.00	$48.09–$110.70	8% above	59%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Cascade	$50.43	$123.00	$61.50–$123.00	—	59%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$50.43	$123.00	$61.50–$123.00	—	59%
Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential	$45.51	$111.00	$43.40–$99.90	2% above	59%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential	$45.51	$111.00	$55.50–$111.00	—	59%
Complete blood count (CBC), no differential CPT 85027 CBC without Differential	$39.36	$96.00	$37.54–$86.40	28% above	59%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Differential	$39.36	$96.00	$48.00–$96.00	—	59%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$115.62	$282.00	$110.26–$253.80	3% below	59%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$115.62	$282.00	$141.00–$282.00	—	59%
D-dimer blood test (blood clot marker) CPT 85379 POC DDimer	$50.02	$122.00	$47.70–$109.80	4% below	59%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer	$50.02	$122.00	$47.70–$109.80	4% below	59%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer	$50.02	$122.00	$61.00–$122.00	—	59%
D-dimer blood test (blood clot marker) inpatient CPT 85379 POC DDimer	$50.02	$122.00	$61.00–$122.00	—	59%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate	$83.64	$204.00	$79.76–$183.60	16% above	59%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate	$83.64	$204.00	$102.00–$204.00	—	59%
Estradiol blood test CPT 82670 Estradiol Level	$105.78	$258.00	$100.88–$232.20	24% above	59%
Estradiol blood test inpatient CPT 82670 Estradiol Level	$105.78	$258.00	$129.00–$258.00	—	59%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Level	$70.11	$171.00	$66.86–$153.90	9% above	59%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Level	$70.11	$171.00	$85.50–$171.00	—	59%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal	$73.80	$180.00	$70.38–$162.00	43% below	59%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal	$73.80	$180.00	$90.00–$180.00	—	59%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$48.38	$118.00	$46.14–$106.20	7% above	59%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$48.38	$118.00	$59.00–$118.00	—	59%
Folate (folic acid) blood test CPT 82746 Folate Level	$55.35	$135.00	$52.78–$121.50	12% above	59%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$55.35	$135.00	$67.50–$135.00	—	59%
Free T3 thyroid hormone test CPT 84481 T3 Free	$63.96	$156.00	$61.00–$140.40	13% above	59%
Free T3 thyroid hormone test CPT 84481 T3, Free, Dialysis, LC/MS-MS	$63.96	$156.00	$61.00–$140.40	13% above	59%
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free	$63.96	$156.00	$78.00–$156.00	—	59%
Free T3 thyroid hormone test inpatient CPT 84481 T3, Free, Dialysis, LC/MS-MS	$63.96	$156.00	$78.00–$156.00	—	59%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level	$43.46	$106.00	$41.45–$95.40	10% above	59%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 by Dialysis/Mass Spec	$43.46	$106.00	$41.45–$95.40	10% above	59%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level	$43.46	$106.00	$53.00–$106.00	—	59%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 by Dialysis/Mass Spec	$43.46	$106.00	$53.00–$106.00	—	59%
Free testosterone test CPT 84402 Testosterone,Free and Total	$95.94	$234.00	$91.49–$210.60	50% above	59%
Free testosterone test CPT 84402 Testosterone, Free, Direct	$95.94	$234.00	$91.49–$210.60	50% above	59%
Free testosterone test CPT 84402 Testosterone Free MS/Dialysis	$95.94	$234.00	$91.49–$210.60	50% above	59%
Free testosterone test CPT 84402 Testosterone, Free+Total LC/MS	$95.94	$234.00	$91.49–$210.60	50% above	59%
Free testosterone test CPT 84402 Testosterone,Free+Weakly Bound	$95.94	$234.00	$91.49–$210.60	50% above	59%
Free testosterone test inpatient CPT 84402 Testosterone, Free+Total LC/MS	$95.94	$234.00	$117.00–$234.00	—	59%
Free testosterone test inpatient CPT 84402 Testosterone Free MS/Dialysis	$95.94	$234.00	$117.00–$234.00	—	59%
Free testosterone test inpatient CPT 84402 Testosterone, Free, Direct	$95.94	$234.00	$117.00–$234.00	—	59%
Free testosterone test inpatient CPT 84402 Testosterone,Free and Total	$95.94	$234.00	$117.00–$234.00	—	59%
Free testosterone test inpatient CPT 84402 Testosterone,Free+Weakly Bound	$95.94	$234.00	$117.00–$234.00	—	59%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$171.79	$419.00	$163.83–$377.10	23% above	59%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel	$171.79	$419.00	$209.50–$419.00	—	59%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, Post Glucose Dose	$15.99	$39.00	$15.25–$35.10	48% below	59%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose,1hr PP	$15.99	$39.00	$15.25–$35.10	48% below	59%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose,2hr PP	$15.99	$39.00	$15.25–$35.10	48% below	59%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, Post Glucose Dose	$15.99	$39.00	$19.50–$39.00	—	59%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose,2hr PP	$15.99	$39.00	$19.50–$39.00	—	59%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose,1hr PP	$15.99	$39.00	$19.50–$39.00	—	59%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE;TOLERANCE TEST 5 SPEC	$40.59	$99.00	$38.71–$89.10	7% below	59%
Glucose tolerance test, 3 samples CPT 82951 .Glucose,2 hr	$40.59	$99.00	$38.71–$89.10	7% below	59%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance,2 hr	$40.59	$99.00	$38.71–$89.10	7% below	59%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance,3 hr	$40.59	$99.00	$38.71–$89.10	7% below	59%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance,4 hr	$40.59	$99.00	$38.71–$89.10	7% below	59%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance,5 hr	$40.59	$99.00	$38.71–$89.10	7% below	59%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE;TOLERANCE TEST 3 SPEC	$40.59	$99.00	$38.71–$89.10	7% below	59%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE;TOLERANCE TEST 4 SPEC	$40.59	$99.00	$38.71–$89.10	7% below	59%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE;TOLERANCE TEST 5 SPEC	$40.59	$99.00	$49.50–$99.00	—	59%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance,2 hr	$40.59	$99.00	$49.50–$99.00	—	59%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE;TOLERANCE TEST 3 SPEC	$40.59	$99.00	$49.50–$99.00	—	59%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE;TOLERANCE TEST 4 SPEC	$40.59	$99.00	$49.50–$99.00	—	59%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance,5 hr	$40.59	$99.00	$49.50–$99.00	—	59%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance,4 hr	$40.59	$99.00	$49.50–$99.00	—	59%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance,3 hr	$40.59	$99.00	$49.50–$99.00	—	59%
Glucose tolerance test, 3 samples inpatient CPT 82951 .Glucose,2 hr	$40.59	$99.00	$49.50–$99.00	—	59%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHOEAE AMPLIFIED PROBE	$73.80	$180.00	$70.38–$162.00	20% above	59%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE, DNA, AMP PROB	$73.80	$180.00	$70.38–$162.00	20% above	59%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHOEAE AMPLIFIED PROBE	$73.80	$180.00	$90.00–$180.00	—	59%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE, DNA, AMP PROB	$73.80	$180.00	$90.00–$180.00	—	59%
H. pylori antibody blood test CPT 86677 Helicobacter pylori Antibody IgG	$57.81	$141.00	$55.13–$126.90	20% above	59%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$57.81	$141.00	$55.13–$126.90	20% above	59%
H. pylori antibody blood test CPT 86677 H pylori, IgM, IgG, IgA Ab	$57.81	$141.00	$55.13–$126.90	20% above	59%
H. pylori antibody blood test CPT 86677 H. pylori, IgG Abs	$57.81	$141.00	$55.13–$126.90	20% above	59%
H. pylori antibody blood test CPT 86677 Helicobacter pylori, IgA	$57.81	$141.00	$55.13–$126.90	20% above	59%
H. pylori antibody blood test CPT 86677 Helicobacter pylori, IgM Ab	$57.81	$141.00	$55.13–$126.90	20% above	59%
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori, IgM Ab	$57.81	$141.00	$70.50–$141.00	—	59%
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori, IgA	$57.81	$141.00	$70.50–$141.00	—	59%
H. pylori antibody blood test inpatient CPT 86677 H. pylori, IgG Abs	$57.81	$141.00	$70.50–$141.00	—	59%
H. pylori antibody blood test inpatient CPT 86677 H pylori, IgM, IgG, IgA Ab	$57.81	$141.00	$70.50–$141.00	—	59%
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori Antibody IgG	$57.81	$141.00	$70.50–$141.00	—	59%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIBODY	$57.81	$141.00	$70.50–$141.00	—	59%
H. pylori stool antigen test CPT 87338 H. pylori Stool Ag, EIA	$54.12	$132.00	$51.61–$118.80	12% below	59%
H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool Ag, EIA	$54.12	$132.00	$66.00–$132.00	—	59%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, Real Time PCR (Non-Graph)	$321.85	$785.00	$306.94–$706.50	105% above	59%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA, Real Time PCR (Non-Graph)	$321.85	$785.00	$392.50–$785.00	—	59%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 Antibody	$68.06	$166.00	$64.91–$149.40	22% above	59%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ag/Ab Combo 1/2 Screen	$68.06	$166.00	$64.91–$149.40	22% above	59%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 Antibody	$68.06	$166.00	$83.00–$166.00	—	59%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Ag/Ab Combo 1/2 Screen	$68.06	$166.00	$83.00–$166.00	—	59%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$48.38	$118.00	$46.14–$106.20	10% above	59%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$48.38	$118.00	$59.00–$118.00	—	59%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$40.59	$99.00	$38.71–$89.10	18% below	59%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody	$40.59	$99.00	$38.71–$89.10	18% below	59%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody	$40.59	$99.00	$49.50–$99.00	—	59%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$40.59	$99.00	$49.50–$99.00	—	59%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$39.36	$96.00	$37.54–$86.40	at median	59%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG, EIA	$39.36	$96.00	$37.54–$86.40	at median	59%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$39.36	$96.00	$48.00–$96.00	—	59%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG, EIA	$39.36	$96.00	$48.00–$96.00	—	59%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR	$54.12	$132.00	$51.61–$118.80	23% above	59%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR	$54.12	$132.00	$66.00–$132.00	—	59%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR, Qn Rfx Geno	$161.95	$395.00	$154.44–$355.50	4% above	59%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA Qn (Graph) Rfx NS3/4A	$209.10	$510.00	$199.41–$459.00	34% above	59%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RealTime Abbott	$287.00	$700.00	$273.70–$630.00	84% above	59%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph)	$161.95	$395.00	$154.44–$355.50	4% above	59%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA by PCR, Qn Rfx Geno	$161.95	$395.00	$197.50–$395.00	—	59%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA Qn (Graph) Rfx NS3/4A	$209.10	$510.00	$255.00–$510.00	—	59%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RealTime Abbott	$287.00	$700.00	$350.00–$700.00	—	59%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Non-Graph)	$161.95	$395.00	$197.50–$395.00	—	59%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 and 2-Spec Ab, IgG w/Rfx	$50.43	$123.00	$48.09–$110.70	49% above	59%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 and 2-Spec Ab, IgG w/Rfx	$50.43	$123.00	$61.50–$123.00	—	59%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG, TYPE SPEC	$73.80	$180.00	$70.38–$162.00	71% above	59%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG, TYPE SPEC	$73.80	$180.00	$90.00–$180.00	—	59%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sensitivity	$49.20	$120.00	$46.92–$108.00	22% above	59%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sensitivity	$49.20	$120.00	$60.00–$120.00	—	59%
Homocysteine blood test CPT 83090 Homocyst(e)ine, Plasma	$63.96	$156.00	$61.00–$140.40	23% above	59%
Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine, Plasma	$63.96	$156.00	$78.00–$156.00	—	59%
Insulin blood test CPT 83525 Islet Cell Dysfunction Group 1	$43.05	$105.00	$41.06–$94.50	at median	59%
Insulin blood test CPT 83525 ASSAY OF INS	$43.05	$105.00	$41.06–$94.50	at median	59%
Insulin blood test CPT 83525 Free and Total Insulin	$43.05	$105.00	$41.06–$94.50	at median	59%
Insulin blood test CPT 83525 Insulin	$43.05	$105.00	$41.06–$94.50	at median	59%
Insulin blood test inpatient CPT 83525 ASSAY OF INS	$43.05	$105.00	$52.50–$105.00	—	59%
Insulin blood test inpatient CPT 83525 Islet Cell Dysfunction Group 1	$43.05	$105.00	$52.50–$105.00	—	59%
Insulin blood test inpatient CPT 83525 Insulin	$43.05	$105.00	$52.50–$105.00	—	59%
Insulin blood test inpatient CPT 83525 Free and Total Insulin	$43.05	$105.00	$52.50–$105.00	—	59%
Iron blood test (serum iron) CPT 83540 IRON	$24.60	$60.00	$23.46–$54.00	25% below	59%
Iron blood test (serum iron) CPT 83540 Iron Level	$24.60	$60.00	$23.46–$54.00	25% below	59%
Iron blood test (serum iron) inpatient CPT 83540 Iron Level	$24.60	$60.00	$30.00–$60.00	—	59%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$24.60	$60.00	$30.00–$60.00	—	59%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$33.21	$81.00	$31.67–$72.90	31% below	59%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$33.21	$81.00	$40.50–$81.00	—	59%
Kidney function blood test panel CPT 80069 Renal Function Panel	$33.21	$81.00	$31.67–$72.90	52% below	59%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$33.21	$81.00	$40.50–$81.00	—	59%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$70.11	$171.00	$66.86–$153.90	4% above	59%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone	$70.11	$171.00	$85.50–$171.00	—	59%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level Body Fluid	$68.88	$168.00	$65.69–$151.20	64% above	59%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$68.88	$168.00	$65.69–$151.20	64% above	59%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level Body Fluid	$68.88	$168.00	$84.00–$168.00	—	59%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$68.88	$168.00	$84.00–$168.00	—	59%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$30.75	$75.00	$29.33–$67.50	68% below	59%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$30.75	$75.00	$37.50–$75.00	—	59%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$63.96	$156.00	$61.00–$140.40	54% above	59%
Lyme disease antibody test CPT 86618 Lyme Disease Total Antibody w/Rflx to Immunoassay	$63.96	$156.00	$61.00–$140.40	54% above	59%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$63.96	$156.00	$78.00–$156.00	—	59%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Antibody w/Rflx to Immunoassay	$63.96	$156.00	$78.00–$156.00	—	59%
Magnesium blood test CPT 83735 MG	$33.21	$81.00	$31.67–$72.90	61% above	59%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$33.21	$81.00	$31.67–$72.90	61% above	59%
Magnesium blood test CPT 83735 Magnesium, RBC	$33.21	$81.00	$31.67–$72.90	61% above	59%
Magnesium blood test CPT 83735 Magnesium, Urine	$33.21	$81.00	$31.67–$72.90	61% above	59%
Magnesium blood test inpatient CPT 83735 Magnesium, RBC	$33.21	$81.00	$40.50–$81.00	—	59%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM	$33.21	$81.00	$40.50–$81.00	—	59%
Magnesium blood test inpatient CPT 83735 Magnesium, Urine	$33.21	$81.00	$40.50–$81.00	—	59%
Magnesium blood test inpatient CPT 83735 MG	$33.21	$81.00	$40.50–$81.00	—	59%
Measles (rubeola) antibody test CPT 86765 Acute Measles Panel, IgM Antibody and PCR	$49.20	$120.00	$46.92–$108.00	25% above	59%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$49.20	$120.00	$46.92–$108.00	25% above	59%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$49.20	$120.00	$60.00–$120.00	—	59%
Measles (rubeola) antibody test inpatient CPT 86765 Acute Measles Panel, IgM Antibody and PCR	$49.20	$120.00	$60.00–$120.00	—	59%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Scrn	$34.85	$85.00	$33.24–$76.50	11% below	59%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Scrn	$34.85	$85.00	$42.50–$85.00	—	59%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA,Post Prostectomy	$70.11	$171.00	$66.86–$153.90	46% above	59%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA, FREE	$70.11	$171.00	$66.86–$153.90	46% above	59%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA;FREE	$70.11	$171.00	$66.86–$153.90	46% above	59%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA;FREE	$70.11	$171.00	$85.50–$171.00	—	59%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA,Post Prostectomy	$70.11	$171.00	$85.50–$171.00	—	59%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA, FREE	$70.11	$171.00	$85.50–$171.00	—	59%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free (Serial)-RefLab Only	$70.11	$171.00	$66.86–$153.90	15% above	59%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Free And Total	$70.11	$171.00	$66.86–$153.90	15% above	59%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic	$70.11	$171.00	$66.86–$153.90	15% above	59%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total+% Free (Serial)-RefLab Only	$70.11	$171.00	$85.50–$171.00	—	59%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Diagnostic	$70.11	$171.00	$85.50–$171.00	—	59%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Free And Total	$70.11	$171.00	$85.50–$171.00	—	59%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone,Intact	$155.80	$380.00	$148.58–$342.00	27% above	59%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraoperative/Post Operative	$155.80	$380.00	$148.58–$342.00	27% above	59%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone,Intact	$155.80	$380.00	$190.00–$380.00	—	59%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraoperative/Post Operative	$155.80	$380.00	$190.00–$380.00	—	59%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$36.08	$88.00	$34.41–$79.20	27% above	59%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$36.08	$88.00	$44.00–$88.00	—	59%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$72.98	$178.00	$69.60–$160.20	15% above	59%
Progesterone blood test CPT 84144 Progesterone Level	$72.98	$178.00	$69.60–$160.20	15% above	59%
Progesterone blood test inpatient CPT 84144 Progesterone Level	$72.98	$178.00	$89.00–$178.00	—	59%
Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE	$72.98	$178.00	$89.00–$178.00	—	59%
Prolactin blood test CPT 84146 Prolactin Level	$92.25	$225.00	$87.98–$202.50	9% above	59%
Prolactin blood test CPT 84146 Prolactin,Diluted	$92.25	$225.00	$87.98–$202.50	9% above	59%
Prolactin blood test inpatient CPT 84146 Prolactin,Diluted	$92.25	$225.00	$112.50–$225.00	—	59%
Prolactin blood test inpatient CPT 84146 Prolactin Level	$92.25	$225.00	$112.50–$225.00	—	59%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR	$25.42	$62.00	$24.24–$55.80	23% above	59%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR	$25.42	$62.00	$31.00–$62.00	—	59%
Rapid flu test (influenza antigen) CPT 87804 Influenza A and B Antigen,Direct AddOn	$155.39	$379.00	$148.19–$341.10	317% above	59%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A and B Antigen,Direct AddOn	$155.39	$379.00	$189.50–$379.00	—	59%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Profile	$31.98	$78.00	$30.50–$70.20	3% above	59%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Profile	$31.98	$78.00	$39.00–$78.00	—	59%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody IgG	$54.12	$132.00	$51.61–$118.80	75% above	59%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$54.12	$132.00	$51.61–$118.80	75% above	59%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$54.12	$132.00	$66.00–$132.00	—	59%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody IgG	$54.12	$132.00	$66.00–$132.00	—	59%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR.	$29.11	$71.00	$27.76–$63.90	35% above	59%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$29.11	$71.00	$27.76–$63.90	35% above	59%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR	$29.11	$71.00	$27.76–$63.90	35% above	59%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR	$29.11	$71.00	$35.50–$71.00	—	59%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED	$29.11	$71.00	$35.50–$71.00	—	59%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR.	$29.11	$71.00	$35.50–$71.00	—	59%
Stool ova and parasites exam CPT 87177 O+P Exam, Formalin Only	$33.21	$81.00	$31.67–$72.90	3% above	59%
Stool ova and parasites exam CPT 87177 Ova + Parasite Exam	$33.21	$81.00	$31.67–$72.90	3% above	59%
Stool ova and parasites exam inpatient CPT 87177 O+P Exam, Formalin Only	$33.21	$81.00	$40.50–$81.00	—	59%
Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam	$33.21	$81.00	$40.50–$81.00	—	59%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood Screen (Guaiac)	$17.22	$42.00	$16.42–$37.80	9% below	59%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Fecal Occult Blood Screen (Guaiac)	$17.22	$42.00	$21.00–$42.00	—	59%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF	$27.88	$68.00	$26.59–$61.20	8% above	59%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin	$27.88	$68.00	$26.59–$61.20	8% above	59%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF	$27.88	$68.00	$34.00–$68.00	—	59%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin	$27.88	$68.00	$34.00–$68.00	—	59%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON TB Gold Plus	$234.52	$572.00	$223.65–$514.80	79% above	59%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON Client Incubated	$234.52	$572.00	$223.65–$514.80	79% above	59%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON TB Gold Plus	$234.52	$572.00	$286.00–$572.00	—	59%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON Client Incubated	$234.52	$572.00	$286.00–$572.00	—	59%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Women/Child	$97.17	$237.00	$92.67–$213.30	23% above	59%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, LC/MS	$97.17	$237.00	$92.67–$213.30	23% above	59%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total	$97.17	$237.00	$92.67–$213.30	23% above	59%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$97.17	$237.00	$92.67–$213.30	23% above	59%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$97.17	$237.00	$92.67–$213.30	23% above	59%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Women/Child	$97.17	$237.00	$118.50–$237.00	—	59%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$97.17	$237.00	$118.50–$237.00	—	59%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total, LC/MS	$97.17	$237.00	$118.50–$237.00	—	59%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level Total	$97.17	$237.00	$118.50–$237.00	—	59%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$97.17	$237.00	$118.50–$237.00	—	59%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab	$55.35	$135.00	$52.78–$121.50	36% above	59%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab	$55.35	$135.00	$52.78–$121.50	36% above	59%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab	$55.35	$135.00	$67.50–$135.00	—	59%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab	$55.35	$135.00	$67.50–$135.00	—	59%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$68.06	$166.00	$64.91–$149.40	33% above	59%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, Dilute	$68.06	$166.00	$64.91–$149.40	33% above	59%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, Dilute	$68.06	$166.00	$83.00–$166.00	—	59%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$68.06	$166.00	$83.00–$166.00	—	59%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$132.43	$323.00	$126.29–$290.70	108% above	59%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$132.43	$323.00	$161.50–$323.00	—	59%
Uric acid blood test CPT 84550 Uric Acid	$22.14	$54.00	$21.11–$48.60	27% below	59%
Uric acid blood test inpatient CPT 84550 Uric Acid	$22.14	$54.00	$27.00–$54.00	—	59%
Urinalysis with microscope exam, automated CPT 81001 UA Microscopic	$31.98	$78.00	$30.50–$70.20	5% above	59%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA Microscopic	$31.98	$78.00	$39.00–$78.00	—	59%
Urinalysis without microscope exam, automated CPT 81003 Ketones Urine	$31.98	$78.00	$30.50–$70.20	170% above	59%
Urinalysis without microscope exam, automated CPT 81003 Urine w Microscopic Culture if indicated	$31.98	$78.00	$30.50–$70.20	170% above	59%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Macroscopic	$31.98	$78.00	$30.50–$70.20	170% above	59%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis with Culture if Indicated	$31.98	$78.00	$30.50–$70.20	170% above	59%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, AUTO, W/O SCOPE	$31.98	$78.00	$30.50–$70.20	170% above	59%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis with Microscopic	$31.98	$78.00	$30.50–$70.20	170% above	59%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis with Microscopic if Indicated	$31.98	$78.00	$30.50–$70.20	170% above	59%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine w Microscopic Culture if indicated	$31.98	$78.00	$39.00–$78.00	—	59%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis with Microscopic	$31.98	$78.00	$39.00–$78.00	—	59%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS, AUTO, W/O SCOPE	$31.98	$78.00	$39.00–$78.00	—	59%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Macroscopic	$31.98	$78.00	$39.00–$78.00	—	59%
Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine	$31.98	$78.00	$39.00–$78.00	—	59%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis with Microscopic if Indicated	$31.98	$78.00	$39.00–$78.00	—	59%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis with Culture if Indicated	$31.98	$78.00	$39.00–$78.00	—	59%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$53.30	$130.00	$50.83–$117.00	32% above	59%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$53.30	$130.00	$65.00–$130.00	—	59%
Urine pregnancy test, read by color change CPT 81025 Beta hCG Urine (POCT)	$34.44	$84.00	$32.84–$75.60	13% below	59%
Urine pregnancy test, read by color change CPT 81025 HCG,Urine	$34.44	$84.00	$32.84–$75.60	13% below	59%
Urine pregnancy test, read by color change inpatient CPT 81025 Beta hCG Urine (POCT)	$34.44	$84.00	$42.00–$84.00	—	59%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG,Urine	$34.44	$84.00	$42.00–$84.00	—	59%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level	$49.61	$121.00	$47.31–$108.90	1% below	59%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level	$49.61	$121.00	$60.50–$121.00	—	59%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3	$111.93	$273.00	$106.74–$245.70	51% above	59%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level	$111.93	$273.00	$106.74–$245.70	51% above	59%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D LCMS D2+D3	$111.93	$273.00	$136.50–$273.00	—	59%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy Level	$111.93	$273.00	$136.50–$273.00	—	59%
Zinc blood test CPT 84630 Zinc, Plasma or Serum	$43.05	$105.00	$41.06–$94.50	15% above	59%
Zinc blood test inpatient CPT 84630 Zinc, Plasma or Serum	$43.05	$105.00	$52.50–$105.00	—	59%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG, Beta Subunit, Qn (Serial)	$80.77	$197.00	$77.03–$177.30	24% above	59%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG,Beta Subunit, Qnt, Serum	$80.77	$197.00	$77.03–$177.30	24% above	59%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Quantitative	$80.77	$197.00	$77.03–$177.30	24% above	59%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN,CHORIONIC;QUANT	$80.77	$197.00	$77.03–$177.30	24% above	59%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG,Beta Subunit, Qnt, Serum	$80.77	$197.00	$98.50–$197.00	—	59%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG, Beta Subunit, Qn (Serial)	$80.77	$197.00	$98.50–$197.00	—	59%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hCG Quantitative	$80.77	$197.00	$98.50–$197.00	—	59%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN,CHORIONIC;QUANT	$80.77	$197.00	$98.50–$197.00	—	59%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CDT Cardioversion	$529.72	$1,292.00	$505.17–$1,162.80	24% below	59%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CDT Cardioversion	$529.72	$1,292.00	$646.00–$1,292.00	—	59%
Cataract surgery with lens implant CPT 66984 Extract Cataract w IOC Lens Ins	$1,785.96	$4,356.00	$1,703.20–$3,920.40	43% below	59%
Cataract surgery with lens implant inpatient CPT 66984 Extract Cataract w IOC Lens Ins	$1,785.96	$4,356.00	$2,178.00–$4,356.00	—	59%
Colonoscopy, diagnostic CPT 45378 Colonoscopy	$1,349.72	$3,292.00	$1,287.17–$2,962.80	7% above	59%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy	$1,349.72	$3,292.00	$1,646.00–$3,292.00	—	59%
Complex cataract surgery with lens implant CPT 66982 Extract Cataract w IOC Lens Ins	$1,785.96	$4,356.00	$1,703.20–$3,920.40	48% below	59%
Complex cataract surgery with lens implant inpatient CPT 66982 Extract Cataract w IOC Lens Ins	$1,785.96	$4,356.00	$2,178.00–$4,356.00	—	59%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy	$1,349.72	$3,292.00	$1,287.17–$2,962.80	23% above	59%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colonoscopy	$1,349.72	$3,292.00	$1,646.00–$3,292.00	—	59%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colonoscopy	$1,349.72	$3,292.00	$1,287.17–$2,962.80	23% above	59%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colonoscopy	$1,349.72	$3,292.00	$1,646.00–$3,292.00	—	59%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Extracorporeal Shock Wave	$4,100.00	$10,000.00	$3,910.00–$9,000.00	22% below	59%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy Extracorporeal Shock Wave	$4,100.00	$10,000.00	$5,000.00–$10,000.00	—	59%
Skin biopsy, punch, one lesion CPT 11104 US Biopsy Skin SQ 1st Les w/img	$511.68	$1,248.00	$487.97–$1,123.20	243% above	59%
Skin biopsy, punch, one lesion inpatient CPT 11104 US Biopsy Skin SQ 1st Les w/img	$511.68	$1,248.00	$624.00–$1,248.00	—	59%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 0-1.5 HRS	$309.14	$754.00	$294.81–$678.60	22% below	59%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN >1.5-2.5 HRS	$346.04	$844.00	$330.00–$759.60	13% below	59%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN >2.5-3.5 HRS	$385.40	$940.00	$367.54–$846.00	3% below	59%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN >3.5-4.5 HRS	$423.94	$1,034.00	$404.29–$930.60	7% above	59%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN >4.5-5.5 HRS	$462.89	$1,129.00	$441.44–$1,016.10	16% above	59%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN >5.5-6.5 HRS	$501.02	$1,222.00	$477.80–$1,099.80	26% above	59%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN >6.5-7.5 HRS	$539.97	$1,317.00	$514.95–$1,185.30	36% above	59%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN >7.5-8.5 HRS	$577.69	$1,409.00	$550.92–$1,268.10	45% above	59%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 0-1.5 HRS	$309.14	$754.00	$377.00–$754.00	—	59%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN >1.5-2.5 HRS	$346.04	$844.00	$422.00–$844.00	—	59%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN >2.5-3.5 HRS	$385.40	$940.00	$470.00–$940.00	—	59%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN >3.5-4.5 HRS	$423.94	$1,034.00	$517.00–$1,034.00	—	59%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN >4.5-5.5 HRS	$462.89	$1,129.00	$564.50–$1,129.00	—	59%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN >5.5-6.5 HRS	$501.02	$1,222.00	$611.00–$1,222.00	—	59%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN >6.5-7.5 HRS	$539.97	$1,317.00	$658.50–$1,317.00	—	59%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN >7.5-8.5 HRS	$577.69	$1,409.00	$704.50–$1,409.00	—	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI:Subsequent	$78.72	$192.00	$75.07–$172.80	20% below	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy:Initial	$78.72	$192.00	$75.07–$172.80	20% below	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Suction:RT Obtained Sputum	$78.72	$192.00	$75.07–$172.80	20% below	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI:Initial	$78.72	$192.00	$75.07–$172.80	20% below	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Aerosol Therapy - Manual	$78.72	$192.00	$75.07–$172.80	20% below	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy:Subsequent	$78.72	$192.00	$75.07–$172.80	20% below	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy:Subsequent	$78.72	$192.00	$96.00–$192.00	—	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Suction:RT Obtained Sputum	$78.72	$192.00	$96.00–$192.00	—	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy:Initial	$78.72	$192.00	$96.00–$192.00	—	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI:Initial	$78.72	$192.00	$96.00–$192.00	—	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI:Subsequent	$78.72	$192.00	$96.00–$192.00	—	59%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Aerosol Therapy - Manual	$78.72	$192.00	$96.00–$192.00	—	59%
Chemotherapy IV infusion, first hour CPT 96413 INF CHEMO IV INF,SNGL/INIT DRG<=1H	$293.56	$716.00	$279.96–$644.40	13% above	59%
Chemotherapy IV infusion, first hour inpatient CPT 96413 INF CHEMO IV INF,SNGL/INIT DRG<=1H	$293.56	$716.00	$358.00–$716.00	—	59%
Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL CARE 30-74 MIN	$1,943.81	$4,741.00	$1,853.73–$4,266.90	60% above	59%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED CRITICAL CARE 30-74 MIN	$1,943.81	$4,741.00	$2,370.50–$4,741.00	—	59%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Awake and Drowsy 95816	$533.00	$1,300.00	$508.30–$1,170.00	79% above	59%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Awake and Drowsy 95816	$533.00	$1,300.00	$650.00–$1,300.00	—	59%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Rhythm ECG 1-3 leads tracing only	$131.20	$320.00	$125.12–$288.00	18% above	59%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine ECG 12 leads tracing only	$131.20	$320.00	$125.12–$288.00	18% above	59%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine ECG 12 lead/15 lead tracing only	$131.20	$320.00	$125.12–$288.00	18% above	59%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 INF EKG	$154.98	$378.00	$147.80–$340.20	39% above	59%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CV ECG Acquisition	$154.98	$378.00	$147.80–$340.20	39% above	59%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine ECG 12 lead/15 lead tracing only	$131.20	$320.00	$160.00–$320.00	—	59%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Rhythm ECG 1-3 leads tracing only	$131.20	$320.00	$160.00–$320.00	—	59%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine ECG 12 leads tracing only	$131.20	$320.00	$160.00–$320.00	—	59%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 INF EKG	$154.98	$378.00	$189.00–$378.00	—	59%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CV ECG Acquisition	$154.98	$378.00	$189.00–$378.00	—	59%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER NURSING LEVEL I	$159.08	$388.00	$151.71–$349.20	16% above	59%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 CHARGE ER NURSING LEVEL I	$159.08	$388.00	$151.71–$349.20	16% above	59%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER NURSING LEVEL I	$159.08	$388.00	$194.00–$388.00	—	59%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 CHARGE ER NURSING LEVEL I	$159.08	$388.00	$194.00–$388.00	—	59%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER NURSING LEVEL II	$284.13	$693.00	$270.96–$623.70	23% above	59%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 CHARGE ER NURSING LEVEL II	$284.13	$693.00	$270.96–$623.70	23% above	59%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 CHARGE ER NURSING LEVEL II	$284.13	$693.00	$346.50–$693.00	—	59%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER NURSING LEVEL II	$284.13	$693.00	$346.50–$693.00	—	59%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER NURSING LEVEL III	$477.24	$1,164.00	$455.12–$1,047.60	7% above	59%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CHARGE ER NURSING LEVEL III	$477.24	$1,164.00	$455.12–$1,047.60	7% above	59%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 CHARGE ER NURSING LEVEL III	$477.24	$1,164.00	$582.00–$1,164.00	—	59%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER NURSING LEVEL III	$477.24	$1,164.00	$582.00–$1,164.00	—	59%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER NURSING LEVEL IV	$650.26	$1,586.00	$620.13–$1,427.40	6% below	59%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CHARGE ER NURSING LEVEL IV	$650.26	$1,586.00	$620.13–$1,427.40	6% below	59%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CHARGE ER NURSING LEVEL IV	$650.26	$1,586.00	$793.00–$1,586.00	—	59%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER NURSING LEVEL IV	$650.26	$1,586.00	$793.00–$1,586.00	—	59%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CHARGE ER NURSING LEVEL V	$949.15	$2,315.00	$905.17–$2,083.50	4% below	59%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER NURSING LEVEL V	$949.15	$2,315.00	$905.17–$2,083.50	4% below	59%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER NURSING LEVEL V	$949.15	$2,315.00	$1,157.50–$2,315.00	—	59%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CHARGE ER NURSING LEVEL V	$949.15	$2,315.00	$1,157.50–$2,315.00	—	59%
Exercise stress test, tracing only, the hospital charge CPT 93017 Treadmill or Drug-Induced Stress Test	$420.25	$1,025.00	$400.78–$922.50	at median	59%
Exercise stress test, tracing only, the hospital charge CPT 93017 Dobutamine/ Nuclear Med	$420.25	$1,025.00	$400.78–$922.50	at median	59%
Exercise stress test, tracing only, the hospital charge CPT 93017 Lexiscan NM Study	$420.25	$1,025.00	$400.78–$922.50	at median	59%
Exercise stress test, tracing only, the hospital charge CPT 93017 Treadmill/ Nuclear Med	$420.25	$1,025.00	$400.78–$922.50	at median	59%
Exercise stress test, tracing only, the hospital charge CPT 93017 Electrocardiogram Stress Exercise	$420.25	$1,025.00	$400.78–$922.50	at median	59%
Exercise stress test, tracing only, the hospital charge CPT 93017 Adenosine NM Study	$420.25	$1,025.00	$400.78–$922.50	at median	59%
Exercise stress test, tracing only, the hospital charge CPT 93017 Routine Treadmill	$420.25	$1,025.00	$400.78–$922.50	at median	59%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Dobutamine/ Nuclear Med	$420.25	$1,025.00	$512.50–$1,025.00	—	59%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Adenosine NM Study	$420.25	$1,025.00	$512.50–$1,025.00	—	59%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Treadmill or Drug-Induced Stress Test	$420.25	$1,025.00	$512.50–$1,025.00	—	59%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Electrocardiogram Stress Exercise	$420.25	$1,025.00	$512.50–$1,025.00	—	59%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Routine Treadmill	$420.25	$1,025.00	$512.50–$1,025.00	—	59%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Treadmill/ Nuclear Med	$420.25	$1,025.00	$512.50–$1,025.00	—	59%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Lexiscan NM Study	$420.25	$1,025.00	$512.50–$1,025.00	—	59%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF/H IV Inf Initial 31 - 60 min	$218.53	$533.00	$208.40–$479.70	47% above	59%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV INF,HYDRATION,INIT,UP TO 1H	$218.53	$533.00	$208.40–$479.70	47% above	59%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF,HYDRATION,INIT,UP TO 1H	$218.53	$533.00	$208.40–$479.70	47% above	59%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF/H IV Inf Initial 31 - 60 min	$218.53	$533.00	$266.50–$533.00	—	59%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF,HYDRATION,INIT,UP TO 1H	$218.53	$533.00	$266.50–$533.00	—	59%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV INF,HYDRATION,INIT,UP TO 1H	$218.53	$533.00	$266.50–$533.00	—	59%
IV infusion of a medicine, first hour CPT 96365 INF/NC IV Infusion Ther Initial	$239.85	$585.00	$228.74–$526.50	56% above	59%
IV infusion of a medicine, first hour CPT 96365 INF IV INF,INITIAL,UP TO 1 HOUR	$239.85	$585.00	$228.74–$526.50	56% above	59%
IV infusion of a medicine, first hour inpatient CPT 96365 INF/NC IV Infusion Ther Initial	$239.85	$585.00	$292.50–$585.00	—	59%
IV infusion of a medicine, first hour inpatient CPT 96365 INF IV INF,INITIAL,UP TO 1 HOUR	$239.85	$585.00	$292.50–$585.00	—	59%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM Muscle Therapy Thyrogen Inj	$73.80	$180.00	$70.38–$162.00	32% above	59%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM Muscle Therapy Thyrogen 2nd Inj	$73.80	$180.00	$70.38–$162.00	32% above	59%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CT Muscle Theraputic Inj	$73.80	$180.00	$70.38–$162.00	32% above	59%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection SC/IMInjection SC/IM	$73.80	$180.00	$70.38–$162.00	32% above	59%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF ADM INJ SQ OR IM	$73.80	$180.00	$70.38–$162.00	32% above	59%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INF ADM INJ SQ OR IM	$73.80	$180.00	$90.00–$180.00	—	59%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection SC/IMInjection SC/IM	$73.80	$180.00	$90.00–$180.00	—	59%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CT Muscle Theraputic Inj	$73.80	$180.00	$90.00–$180.00	—	59%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM Muscle Therapy Thyrogen Inj	$73.80	$180.00	$90.00–$180.00	—	59%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM Muscle Therapy Thyrogen 2nd Inj	$73.80	$180.00	$90.00–$180.00	—	59%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT-IND-INITIAL ASSESS/15 MIN Unit	$25.83	$63.00	$24.63–$56.70	3% below	59%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PH-IND-INITIAL ASSESS/15 MIN Unit	$25.83	$63.00	$24.63–$56.70	3% below	59%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT-IND-INITIAL ASSESS/15 MIN Unit	$25.83	$63.00	$31.50–$63.00	—	59%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 PH-IND-INITIAL ASSESS/15 MIN Unit	$25.83	$63.00	$31.50–$63.00	—	59%
Spirometry (breathing test) CPT 94010 RT Charge Peak Flow:Yes	$77.08	$188.00	$73.51–$169.20	49% below	59%
Spirometry (breathing test) CPT 94010 RT CHARGE Bedside Spirometry:Yes	$77.08	$188.00	$73.51–$169.20	49% below	59%
Spirometry (breathing test) CPT 94010 RT CHARGE PFT:Spirometry	$77.08	$188.00	$73.51–$169.20	49% below	59%
Spirometry (breathing test) inpatient CPT 94010 RT CHARGE Bedside Spirometry:Yes	$77.08	$188.00	$94.00–$188.00	—	59%
Spirometry (breathing test) inpatient CPT 94010 RT Charge Peak Flow:Yes	$77.08	$188.00	$94.00–$188.00	—	59%
Spirometry (breathing test) inpatient CPT 94010 RT CHARGE PFT:Spirometry	$77.08	$188.00	$94.00–$188.00	—	59%
Spirometry before and after a bronchodilator CPT 94060 PRE & POST FLOW VOLUME LOOP	$211.97	$517.00	$202.15–$465.30	36% below	59%
Spirometry before and after a bronchodilator CPT 94060 Flow volume loop pre and post	$211.97	$517.00	$202.15–$465.30	36% below	59%
Spirometry before and after a bronchodilator CPT 94060 RT CHARGE Bedside Spirometry w/ BD:Yes	$211.97	$517.00	$202.15–$465.30	36% below	59%
Spirometry before and after a bronchodilator inpatient CPT 94060 Flow volume loop pre and post	$211.97	$517.00	$258.50–$517.00	—	59%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE & POST FLOW VOLUME LOOP	$211.97	$517.00	$258.50–$517.00	—	59%
Spirometry before and after a bronchodilator inpatient CPT 94060 RT CHARGE Bedside Spirometry w/ BD:Yes	$211.97	$517.00	$258.50–$517.00	—	59%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY,THERAPEUTIC	$104.55	$255.00	$99.70–$229.50	9% above	59%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 INF Ther Phlebotomy	$104.55	$255.00	$99.70–$229.50	9% above	59%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY,THERAPEUTIC	$104.55	$255.00	$127.50–$255.00	—	59%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 INF Ther Phlebotomy	$104.55	$255.00	$127.50–$255.00	—	59%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 influenza virus vaccine, inactivated adjuvanted PF trivalent 2025-26 (Fluad 65 years and older)	$96.35	$235.00	$91.88–$211.50	13% above	59%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 influenza virus vaccine, inactivated adjuvanted PF trivalent 2025-26 (Fluad 65 years and older)	$96.35	$235.00	$117.50–$235.00	—	59%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARS-CoV-2 (COVID-19) mRNA-LNP (12 yr+) vaccine (cvx 312) PF 50 mcg/0.5 mL (Moderna Spikevax 2024-25)	$191.88	$468.00	$182.99–$421.20	9% below	59%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARS-CoV-2 (COVID-19) mRNA-LNP (12 yr+) vaccine (cvx 312) PF 50 mcg/0.5 mL (Moderna Spikevax 2024-25)	$191.88	$468.00	$234.00–$468.00	—	59%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-CoV-2 (COVID-19) mRNA-LNP (12 yr+) vaccine (cvx 309) PF 30 mcg/0.3 mL (Comirnaty 2024-25)	$185.32	$452.00	$176.73–$406.80	12% above	59%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARS-CoV-2 (COVID-19) mRNA-LNP (12 yr+) vaccine (cvx 309) PF 30 mcg/0.3 mL (Comirnaty 2024-25)	$185.32	$452.00	$226.00–$452.00	—	59%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine Subcut Inj	$153.75	$375.00	$146.62–$337.50	9% below	59%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine Subcut Inj	$153.75	$375.00	$187.50–$375.00	—	59%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine, inactivated PF trivalent 2025-26 (Fluarix 6 months and older)	$46.33	$113.00	$44.18–$101.70	39% above	59%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine, inactivated PF trivalent 2025-26 (Fluzone 6 months and older)	$48.79	$119.00	$46.53–$107.10	46% above	59%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine, inactivated PF trivalent 2025-26 (Fluarix 6 months and older)	$46.33	$113.00	$56.50–$113.00	—	59%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine, inactivated PF trivalent 2025-26 (Fluzone 6 months and older)	$48.79	$119.00	$59.50–$119.00	—	59%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 50 units/1 mL IM Inj	$122.18	$298.00	$116.52–$268.20	80% above	59%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 1440 units/1 mL PF IM Susp 1 mL	$134.89	$329.00	$128.64–$296.10	98% above	59%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 50 units/1 mL IM Inj	$122.18	$298.00	$149.00–$298.00	—	59%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 1440 units/1 mL PF IM Susp 1 mL	$134.89	$329.00	$164.50–$329.00	—	59%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B adult vaccine 10 mcg/1 mL IM Inj	$111.93	$273.00	$106.74–$245.70	8% below	59%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B adult vaccine 10 mcg/1 mL IM Inj	$111.93	$273.00	$136.50–$273.00	—	59%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella 0.5 mL vaccine Subcut Inj (w/diluent)	$96.35	$235.00	$91.88–$211.50	16% below	59%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella 0.5 mL vaccine Subcut Inj (w/diluent)	$96.35	$235.00	$117.50–$235.00	—	59%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate 0,5 mL vaccine (Menveo)	$211.97	$517.00	$202.15–$465.30	3% above	59%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate 0,5 mL vaccine (Menveo)	$211.97	$517.00	$258.50–$517.00	—	59%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal B 0.5 mL vaccine IM Soln	$217.71	$531.00	$207.62–$477.90	10% below	59%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B vaccine fully recombinant 0.5 mL IM Susp	$256.66	$626.00	$244.77–$563.40	6% above	59%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal B 0.5 mL vaccine IM Soln	$217.71	$531.00	$265.50–$531.00	—	59%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B vaccine fully recombinant 0.5 mL IM Susp	$256.66	$626.00	$313.00–$626.00	—	59%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate vaccine (PCV 20) 0.5 mL IM Susp	$353.01	$861.00	$336.65–$774.90	14% above	59%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conjugate vaccine (PCV 20) 0.5 mL IM Susp	$353.01	$861.00	$430.50–$861.00	—	59%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-valent vaccine (PPSV) 0.5 mL Inj Soln	$158.67	$387.00	$151.32–$348.30	2% above	59%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-valent vaccine (PPSV) 0.5 mL Inj Soln	$158.67	$387.00	$193.50–$387.00	—	59%
Rabies vaccine, one dose CPT 90675 rabies vaccine (human diploid cell) 2.5 units/1 mL vaccine	$121.77	$297.00	$116.13–$267.30	78% below	59%
Rabies vaccine, one dose CPT 90675 rabies vaccine (chick embryo) 2.5 intl units/1 mL vaccine	$560.06	$1,366.00	$534.11–$1,229.40	3% above	59%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine (human diploid cell) 2.5 units/1 mL vaccine	$121.77	$297.00	$148.50–$297.00	—	59%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine (chick embryo) 2.5 intl units/1 mL vaccine	$560.06	$1,366.00	$683.00–$1,366.00	—	59%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine, inactivated adjuvanted 0.5 mL IM Inj	$268.14	$654.00	$255.71–$588.60	121% above	59%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine, inactivated adjuvanted 0.5 mL IM Inj	$268.14	$654.00	$327.00–$654.00	—	59%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids (Td) adult/adolescent 5 units-2 units/0.5 mL IM Susp 0.5 mL	$86.51	$211.00	$82.50–$189.90	47% above	59%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids (Td) adult/adolescent 5 units-2 units/0.5 mL IM Susp 0.5 mL	$86.51	$211.00	$105.50–$211.00	—	59%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertussis (Adult) 0.5 mL IM Susp	$96.35	$235.00	$91.88–$211.50	6% above	59%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertussis (Boostrix Tdap) IM Susp 0.5 mL	$96.35	$235.00	$91.88–$211.50	6% above	59%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertussis (Adult) 0.5 mL IM Susp	$96.35	$235.00	$117.50–$235.00	—	59%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertussis (Boostrix Tdap) IM Susp 0.5 mL	$96.35	$235.00	$117.50–$235.00	—	59%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 typhoid vaccine, inactivated 0.5 mL IM Soln	$90.61	$221.00	$86.41–$198.90	45% above	59%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 typhoid vaccine, inactivated 0.5 mL IM Soln	$90.61	$221.00	$110.50–$221.00	—	59%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INF Immunization Administration	$31.16	$76.00	$29.72–$68.40	14% below	59%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN VACC IM/SQ INITAL	$31.16	$76.00	$29.72–$68.40	14% below	59%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INF Immunization Administration	$31.16	$76.00	$38.00–$76.00	—	59%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN VACC IM/SQ INITAL	$31.16	$76.00	$38.00–$76.00	—	59%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN VACC IM/SQ EA ADDL	$31.16	$76.00	$29.72–$68.40	7% below	59%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INF Immunization Administration Add'l	$31.16	$76.00	$29.72–$68.40	7% below	59%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN VACC IM/SQ EA ADDL	$31.16	$76.00	$38.00–$76.00	—	59%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INF Immunization Administration Add'l	$31.16	$76.00	$38.00–$76.00	—	59%

Source file: https://www.mauryregional.com/clientfiles/getfile/621605071_wayne-medical-center_standardcharges.csv